NPI | 1831173293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR DO156743) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02002639A) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2019-09-18 |